Bilateral Multiple Metacarpal Head Avascular Necrosis: A Case Report

被引:2
作者
Li, Wengang [1 ]
Liu, Biao [1 ]
Song, Jun [2 ]
Liu, Yan [1 ]
Liu, Haoyu [1 ]
Pei, Shijie [1 ]
Wei, Zhuang [1 ]
Zhang, Jun [1 ]
Dong, Mingqin [3 ]
机构
[1] Jilin Univ, Dept Hand Surg, China Japan Union Hosp, Xiantai Rd 126, Changchun 130033, Jilin, Peoples R China
[2] Jilin Univ, Dept Med Imaging, China Japan Union Hosp, Changchun, Jilin, Peoples R China
[3] Northern Jiangsu Peoples Hosp, Dept Hand Surg, Yangzhou, Jiangsu, Peoples R China
关键词
Avascular necrosis; Dietrich's disease; Metacarpal head; OSTEONECROSIS; DISEASE;
D O I
10.9738/INTSURG-D-16-00010.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Avascular necrosis of the metacarpal head is a rare disease. We herein report a case with varying degrees of lesions in the third and fourth metacarpal heads of the right hand and the third metacarpal head of the left hand. The patient was a 37-year-old male right-handed mechanical worker who presented with persistent dull pain in the right hand after labor work for more than a year. The 3 lesions in this patient were treated differently based on their clinical imaging manifestations. The neurologic function of the right hand recovered by the 18-month follow-up; only a slight limitation remained in the right middle finger. This is the first report of 1 patent who received 2 different treatment methods simultaneously and both provided a satisfactory clinical result.
引用
收藏
页码:473 / 477
页数:5
相关论文
共 11 条
[1]   AVASCULAR NECROSIS OF METACARPAL HEADS FOLLOWING RENAL-TRANSPLANTATION [J].
ALKUTOUBI, MA .
BRITISH JOURNAL OF RADIOLOGY, 1982, 55 (649) :79-80
[2]   Osteonecrosis of the metacarpal head in a patient with a prothrombin 20210A gene mutation [J].
Björkman, A ;
Jörgsholm, P ;
Burtscher, IM .
SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY, 2005, 39 (06) :379-381
[3]   Avascular necrosis of the metacarpal head [J].
De Smet, L .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1998, 23B (04) :552-554
[4]   Case report: Dieterich's disease in a teenage boy [J].
Fette, Andreas Martin .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2010, 19 (02) :191-194
[5]   SEQUENTIAL RADIOGRAPHIC CHANGES OF METACARPAL OSTEONECROSIS [J].
HAGINO, H ;
YAMAMOTO, K ;
TESHIMA, R ;
KISHIMOTO, H .
ACTA ORTHOPAEDICA SCANDINAVICA, 1990, 61 (01) :86-87
[6]   OSTEONECROSIS OF METACARPAL HEADS IN SYSTEMIC LUPUS-ERYTHEMATOSUS - VALUE OF RADIOSTRONTIUM SCINTIMETRY IN DIFFERENTIAL DIAGNOSIS [J].
LIGHTFOOT, RW ;
LOTKE, PA .
ARTHRITIS AND RHEUMATISM, 1972, 15 (05) :486-+
[7]   Osteochondral Mosaicplasty as a Treatment Method for Bilateral Avascular Necrosis of the Long Finger Metacarpal: Case Report [J].
Maes, Michael ;
Hansen, Ludo ;
Cheyns, Paul .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2010, 35A (08) :1264-1268
[8]   Avascular Necrosis of the Metacarpals in Juvenile Dermatomyositis [J].
Robinson, Angela Byun ;
Rabinovich, C. Egla .
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2010, 16 (05) :233-236
[9]   Flexion osteotomy of the metacarpal neck: A treatment method for avascular necrosis of the head of the third metacarpal - A case report [J].
Wada, M ;
Toh, S ;
Iwaya, D ;
Harata, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (02) :274-276
[10]   Conservative Management of Dieterich Disease: Case Report [J].
Wijeratna, Malin D. ;
Hopkinson-Woolley, James A. .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2012, 37A (04) :807-810